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Home-Based Crisis Team (Dr Sinead O'Brien - part 1 of 3)

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Dr Sinead O'Brien's talk on "Home Based Crisis Team: initial steps towards recovery in the community" at the conference "Home Based Recovery and Wellness in Mental Health" - jointly hosted by …

Dr Sinead O'Brien's talk on "Home Based Crisis Team: initial steps towards recovery in the community" at the conference "Home Based Recovery and Wellness in Mental Health" - jointly hosted by University College Cork and the Centre for Recovery and Social Inclusion, Cork on the 9th June 2010. Part 1 of 3 segments

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  • 1. Home Based Crisis Team: initial steps towards recovery in the community Dr. Sinead O’Brien. Consultant Psychiatrist, Home Based Crisis Team. North Lee Mental Health Services.
  • 2. Today.....
    • Vision for Change
    • City North Sector
    • Development of HBCT-City North.
    • Audit of case-load
    • Future Directions
  • 3. A Vision for Change
    • Person centred
    • Recovery orientated
    • Holistic – all aspects of mental health: biological (e.g. medication), psychological (e.g. “talking therapies”) and social (e.g. housing, employment, education/training).
  • 4. A Vision for Change
    • Community-based – provide services in communities where people live, reduce hospital admissions, more home-based treatments and outreach services.
    • Multi-disciplinary
    • Population Based
  • 5. Mission Statement
    • To provide a home-based crisis assessment and multi-disciplinary treatment and intervention service for individuals presenting with acute psychiatric illness in City North sector. We endeavour to respect each individual’s rights and values.
  • 6. Cork City North Sector
    • Population: 53,000
    • 2 Sector Multidisciplinary Teams.
    • CNW: Dr Ruth Collins
    • CNE: Dr Nataraj Gojanur
  • 7. [Previous speakers that morning ...]
    • Kevin Heffernan
    • Programme Specialist (West Midlands Regional Development Centre, UK)
    • Martin Rogan
    • Assistant National Director, Mental Health, HSE
  • 8. Cork City North Sector.
    • Sector includes:
    • Knocknaheeny
    • Gurranabraher
    • Fairhill
    • Blackpool
    • Mayfield
    • The Glen.
  • 9. RAPID
    • “ Revitalising Areas through Planning, Investment and Development”.
  • 10. RAPID aims to......
    • Increase the investment made by Government departments and state agencies in the 46 communities;  
    • Improve the delivery of public services through integration and coordination  
    • Enhance the opportunities for communities to participate in the strategic improvement of their areas.
  • 11. Rapid Areas in Cork
    • Knocknaheeny/Hollyhill/Churchfield
    • Blackpool /The Glen/Mayfield
    • Fairhill/Gurranabraher/Farranree
    • Togher/Mahon
  • 12. Priorities of RAPID....
    • family support,
    • physical environment,
    • health,
    • community safety,
    • education,
    • employment
    • training and youth support.  
  • 13. The Haase and Pratschke Index
    • uses 3 dimensions of affluence/disadvantage to comprise their index. 
    • ‘ Demographic Profile’,
    • ‘ Social Class Composition’
    • ‘ Labour Market Situation’
  • 14. “ Extremely disadvantaged”
    • Farranferris,
    • Knocknaheeny,
    • Fair Hill B
    • 9% of National ED rating
  • 15. HBCT
    • Set up in 2007
    • Funding for 1 additional Consultant
    • CD and Heads of Discipline examined need within North Lee MHS
  • 16. North Lee MHS
    • Majority (>50%) of ALL admissions to Acute Unit were from City North Sectors
  • 17. HBCT
    • 1 Consultant Psychiatrist
    • 1 Registrar
    • 2 CMHN
    • 1 social worker
    • 0.6 Occupational Therapist
    • 1 Psychologist
    • Clerical Support
  • 18. Evolution of HBCT...April 2009
    • 1 Consultant Psychiatrist
    • 1 Registrar
    • 2 CMHN
    • 0.6 social worker
    • 0.6 Occupational Therapist
    • Clerical Support
  • 19. My Vision... SB Evidence Based Practice
  • 20. My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health
  • 21. My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management
  • 22. My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management Health Economics
  • 23. My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management Health Economics Ethics Autonomy Beneficence Non-Maleficence Justice
  • 24. My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management Research Health Economics Ethics Autonomy Beneficence Non-Maleficence Justice
  • 25. My Vision... SB Evidence Based Practice Audit Optimising Physical & Psychological Health Intensive Case Management Research Health Economics Ethics Autonomy Beneficence Non-Maleficence Justice Evidence Based Practice
  • 26.
    • ... continued in part 2 ....